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A NATIONAL SURVEY OF PEDIATRIC INTENSIVE CARE UNITS

Fan Xunmei¹, Zhang Yuming²

1Beijing Children’s Hospital. Beijing, China

2Shanghai Children’s Hospital. Shanghai, China

Objective: To investigate the organization and development of intensive care unit (ICUs) in China

Methods: Forty survey forms were sent to children’s hospitals which had more then 100 beds.

Results: Totally 25 of 40 hospitals have replied. Among these hospitals, 17 are municipal hospitals, 8 are affiliated to medical university, Nine hospitals set up their ICUs before 1985. 9 did during 1986-1990, 3 hospitals did during 1991-1995 and 4 hospitals did after 1995. Of the 25 hospitals, the mean hospital beds are 342.3 (100 to 721), and the mean ICUs beds are 17.87 (6 to 44), The ICU beds are equal to 5.2% of the hospital’s bed , Among the 25 hospitals, 92% have both NICU and PICU. Each bed of NICU and PICU is meanly equipped with 0.43 (0.13 to 1.25) ventilator, with 0.56 (0.2 to 1.4) vital signs monitor and with 0.9 set of infusion pump. Of the 25 hospitals with ICUs ,72% are staffed by pediatricians specialized in PICU and NICU. Training courses for PICU and NICU were undertaken in 20 of 25 hospitals. Thirty two percent of ICUs set up transportation system From 1998 to 2001, there are average 14151.5) admissions in PICU and NICU per year (615.3+/-37.6 patients per ICU) signifying 34.4 (12.7 to 84.3) patients/bed. The mean duration of stay was 10.6 (4.27 to 28.3) days The mortality rate was 4.3% (0.9% to 10.4%), Among the whole patients, ventilator was used in 14.66% (3.3% to 23.49%) patients. The mortality rate of ventilator treatment was 14.8% (10.7% to 52.8%).

Conclusion In China, more and more children’s hospitals have set up ICU, pediatric intensive care is principally performed by specialized pediatricians, Although the general results for 1998 to 2000 are better than before, substantial diversity exists in ICU administration and organization in our country. Determining what kinds of factor associated with quality of care is important for improving outcomes.